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NPI Code Detail

MEDICARE: JENNA MARIE COMSTOCK ARNP

MEDICARE:   JENNA MARIE COMSTOCK  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner114470NE

General Provider Information

NPI Number : 1265159305
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA MARIE COMSTOCK ARNP
Provider Business Mailing Address
First Line : 814 PIERCE ST STE 300
Second Line :
City : SIOUX CITY
State : IA
Zip : 51101-1058
Country : US
Telephone Number : 712-226-2600
Fax Number : 712-226-2605
Provider Business Practice Location Address
First Line : 3250 PLAZA DR
Second Line :
City : SOUTH SIOUX CITY
State : NE
Zip : 68776-3144
Country : US
Telephone Number : 402-412-4220
Fax Number : 402-494-1365
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2022
Last Update Date : 12/08/2025

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Directions to “ JENNA MARIE COMSTOCK ARNP” Practice Location

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